Jacob Shahidi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35336 Issued in CA

Practice address

904 Cedar St
Santa Cruz, CA 95060-3802

Phone

(831) 426-1050

NPI assigned

Oct 18, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment Care Compare group NPD
• DRS. Liu & Longacre, Inc.

  • Optometrist
  • Pleasanton, CA
  • NPI 1457577876
  NPD (past)
• Golden Hills Optometry, Inc.

  • Optometrist
  • San Jose, CA
  • NPI 1548202849
  NPD (past)
• J Pietrantonio OD Inc

  • Optometrist
  • Los Gatos, CA
  • NPI 1346442043
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1336865526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 BIG SUR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203415",
            "telephone_number": "408-466-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIDI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Shade
• Scott G Shaffer, PT
• Bilal Mobashar Shafi, MD
• Beth Shafran-Mukai, AMFT
• Jigna Shah
• Alexandra Shamma
• Mila L Shank, LCSW
• Wendy Jo Shanklin
• Jill Shannahan, M.D.
• Kiran Sharma

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.